Our Summary

This research paper discusses the risks of a condition called venous thromboembolism (VTE), which includes deep vein thrombosis and pulmonary embolism, in laparoscopic inguinal hernia repair surgery. This type of surgery is becoming increasingly popular because it has lower rates of wound infection, faster recovery times, and less pain after surgery compared to traditional open surgeries. However, VTE is a common cause of death after surgery, and the risks and prevention measures for VTE in this type of hernia surgery are not well understood. The researchers present a case of a patient who died suddenly from a pulmonary embolism after this type of surgery. They also review existing research on VTE risk and prevention in this type of surgery. They found that while this surgery is considered low risk for VTE, there are still potential risks from both the surgery itself and the patient’s own health characteristics. They conclude that doctors should fully assess the risk of VTE and take proper preventative measures before surgery, especially for surgeries that are meant to improve quality of life.

FAQs

  1. What is venous thromboembolism (VTE) and how does it relate to laparoscopic inguinal hernia repair surgery?
  2. What are the benefits of laparoscopic inguinal hernia repair surgery compared to traditional open surgeries?
  3. What are the potential risks of VTE in laparoscopic inguinal hernia repair surgery and how can these be mitigated?

Doctor’s Tip

One helpful tip a doctor might tell a patient about laparoscopic hernia repair is to stay active and mobile as soon as possible after surgery to help prevent the risk of developing a blood clot. This can include taking short walks, doing gentle stretching exercises, and avoiding long periods of immobility. It’s important to follow your doctor’s post-operative instructions carefully to ensure a successful recovery.

Suitable For

Patients who are typically recommended for laparoscopic hernia repair are those with inguinal hernias, which are the most common type of hernia. Inguinal hernias occur when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles.

Patients who are otherwise healthy, have a lower risk of complications, have smaller hernias, and have a higher likelihood of successful repair are good candidates for laparoscopic hernia repair. Additionally, patients who are younger, have a lower body mass index, and do not have any underlying medical conditions that may increase the risk of complications are often recommended for this type of surgery.

However, it is important for doctors to fully assess each patient’s individual risk factors before recommending laparoscopic hernia repair. Patients with a history of blood clots, obesity, smoking, advanced age, or other medical conditions that increase the risk of complications may not be suitable candidates for this type of surgery.

Overall, the decision to undergo laparoscopic hernia repair should be made on a case-by-case basis, taking into consideration the patient’s overall health, risk factors, and potential benefits of the surgery.

Timeline

Before laparoscopic hernia repair:

  • Patient is diagnosed with a hernia and undergoes pre-operative evaluation
  • Patient discusses surgery options with their healthcare provider and decides on laparoscopic hernia repair
  • Patient receives pre-operative instructions, including fasting before surgery and stopping certain medications
  • Patient undergoes laparoscopic hernia repair surgery

After laparoscopic hernia repair:

  • Patient is monitored closely in the recovery room for any complications
  • Patient may experience pain, swelling, and bruising at the surgical site
  • Patient is discharged home with post-operative instructions, including restrictions on physical activity and wound care
  • Patient follows up with their healthcare provider for post-operative appointments
  • Patient gradually resumes normal activities as instructed by their healthcare provider
  • Patient may experience long-term benefits of the surgery, such as reduced pain and improved quality of life.

What to Ask Your Doctor

Some questions a patient should ask their doctor about laparoscopic hernia repair include:

  1. What are the potential risks and complications associated with laparoscopic hernia repair surgery?
  2. What is the likelihood of developing venous thromboembolism (VTE) after this type of surgery?
  3. What specific measures will be taken to prevent VTE during and after the surgery?
  4. How long is the recovery period expected to be after laparoscopic hernia repair surgery?
  5. What kind of follow-up care will be necessary after the surgery?
  6. Are there any specific lifestyle changes or precautions I should take to reduce my risk of complications post-surgery?
  7. How experienced is the surgical team in performing laparoscopic hernia repair procedures?
  8. Are there any alternative treatment options to consider for my hernia?
  9. What is the success rate of laparoscopic hernia repair surgery in terms of preventing hernia recurrence?
  10. Are there any specific warning signs or symptoms I should watch out for after the surgery that may indicate a complication, such as VTE?

Reference

Authors: Yang C, Zhu L. Journal: Hernia. 2017 Jun;21(3):481-486. doi: 10.1007/s10029-017-1587-x. Epub 2017 Feb 7. PMID: 28176033